Individual
BRIAN JAMES WYNALDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2525 KANEVILLE RD, GENEVA, IL 60134-2578
(630) 584-1400
Mailing address
2525 KANEVILLE RD, GENEVA, IL 60134-2578
(630) 584-1400
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
IL
363AS0400X
Surgical Physician Assistant
—
IL
Other
Enumeration date
01/04/2022
Last updated
06/26/2025
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